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NPI 1710598768

NPI 1710598768 : CHRISTINA R GOODSON MNCC, LPC, LSOTP : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1710598768
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA R GOODSON MNCC, LPC, LSOTP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2020
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    Last Update Date     |    01/17/2025
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Provider Practice Location Address
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    Address Line         |    7877 WILLOW CHASE BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77070-5934
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    Country              |    US
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    Telephone            |    832-869-4818
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    Fax                  |    832-241-2902
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Provider Business Mailing Address
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    Address Line         |    21203 FOXWOOD ROCK TRL 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-1995
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    Country              |    US
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    Telephone            |    832-217-8445
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    89167
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    89167
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    License Number State |    TX
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